Individual
DR. MARK BIDWELL
Active
Individual
DR. MARK BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
35052666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599946
—
OH
01
—
38587
NO.CAROLINA LICENSE NO.
OH
01
—
884330E
AMERICAN BD. OF OBGYN
—
Enumeration date
10/03/2006
Last updated
07/28/2014
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